<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pid" class="form-control form-control" name="row[pid]" type="number" value="{$row.pid}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shortname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shortname" class="form-control form-control" name="row[shortname]" type="text" value="{$row.shortname}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control form-control" name="row[name]" type="text" value="{$row.name}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mergename')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mergename" class="form-control form-control" name="row[mergename]" type="text" value="{$row.mergename}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Level')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-level" class="form-control form-control" name="row[level]" type="number" value="{$row.level}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pinyin')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pinyin" class="form-control form-control" name="row[pinyin]" type="text" value="{$row.pinyin}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-code" class="form-control form-control" name="row[code]" type="text" value="{$row.code}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zip')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zip" class="form-control form-control" name="row[zip]" type="text" value="{$row.zip}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('First')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-first" class="form-control form-control" name="row[first]" type="text" value="{$row.first}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Lng')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-lng" class="form-control form-control" name="row[lng]" type="text" value="{$row.lng}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Lat')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-lat" class="form-control form-control" name="row[lat]" type="text" value="{$row.lat}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
